COMMENTS
Comments on “Evaluation of the Accuracy of Mammography, Ultrasound and Magnetic Resonance Imaging in Suspect Breast Lesions”
Yongyu An
Corresponding author
Department of Radiology, Tongde Hospital of Zhejiang Province, Zhejiang Province, China
Read
657
Timeswas read the article
315
Total PDF
342
Total HTML
Share statistics
array:25 [ "pii" => "S1807593222004471" "issn" => "18075932" "doi" => "10.6061/clinics/2020/e2338" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "447" "copyright" => "CLINICS" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by/4.0/" "subdocumento" => "dis" "cita" => "Clinics. 2020;75C:" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S1807593222004483" "issn" => "18075932" "doi" => "10.6061/clinics/2020/e2343" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "448" "copyright" => "CLINICS" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by/4.0/" "subdocumento" => "dis" "cita" => "Clinics. 2020;75C:" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:8 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">COMMENTS ARTICLE</span>" "titulo" => "SARS-CoV-2. Long Distance Airborne Transmission and its Public Health Implications" "tienePdf" => "en" "tieneTextoCompleto" => "en" "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gustavo Silveira Graudenz, Cristiane Degobbi, Paulo Hilario Saldiva" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Gustavo Silveira" "apellidos" => "Graudenz" ] 1 => array:2 [ "nombre" => "Cristiane" "apellidos" => "Degobbi" ] 2 => array:2 [ "nombre" => "Paulo Hilario" "apellidos" => "Saldiva" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222004483?idApp=UINPBA00004N" "url" => "/18075932/000000750000000C/v1_202211290815/S1807593222004483/v1_202211290815/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S180759322200446X" "issn" => "18075932" "doi" => "10.6061/clinics/2020/e2328" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "446" "copyright" => "CLINICS" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by/4.0/" "subdocumento" => "dis" "cita" => "Clinics. 2020;75C:" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">COMMENTS</span>" "titulo" => "Potential mouth rinses and nasal sprays that reduce SARS-CoV-2 viral load: What we know so far?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 889 "Ancho" => 1503 "Tamanyo" => 90941 ] ] "descripcion" => array:1 [ "en" => "<p id="spara10" class="elsevierStyleSimplePara elsevierViewall">Flowchart of articles found in the PubMed/Medline, Cochrane, and the gray literature.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gabriel de Toledo Telles-Araujo, Raquel D'Aquino Garcia Caminha, Monira Samaan Kallás, Aytan Miranda Sipahi, Paulo Sérgio da Silva Santos" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Gabriel" "apellidos" => "de Toledo Telles-Araujo" ] 1 => array:2 [ "nombre" => "Raquel D'Aquino Garcia" "apellidos" => "Caminha" ] 2 => array:2 [ "nombre" => "Monira Samaan" "apellidos" => "Kallás" ] 3 => array:2 [ "nombre" => "Aytan Miranda" "apellidos" => "Sipahi" ] 4 => array:2 [ "nombre" => "Paulo Sérgio" "apellidos" => "da Silva Santos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S180759322200446X?idApp=UINPBA00004N" "url" => "/18075932/000000750000000C/v1_202211290815/S180759322200446X/v1_202211290815/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S1807593222003489" "issn" => "18075932" "doi" => "10.6061/clinics/2020/e1805" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "348" "copyright" => "CLINICS" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by/4.0/" "subdocumento" => "fla" "cita" => "Clinics. 2020;75C:" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL ARTICLE</span>" "titulo" => "Evaluation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Renato de Oliveira Pereira, Larissa Almondes da Luz, Diego Cipriano Chagas, Jefferson Rodrigues Amorim, Elmo de Jesus Nery-Júnior, Araci Castelo Branco Rodrigues Alves, Flávio Teixeira de Abreu-Neto, Maria da Conceição Barros Oliveira, Danylo Rafhael Costa Silva, José Maria Soares-Júnior, Benedito Borges da Silva" "autores" => array:11 [ 0 => array:2 [ "nombre" => "Renato de Oliveira" "apellidos" => "Pereira" ] 1 => array:2 [ "nombre" => "Larissa Almondes da" "apellidos" => "Luz" ] 2 => array:2 [ "nombre" => "Diego Cipriano" "apellidos" => "Chagas" ] 3 => array:2 [ "nombre" => "Jefferson Rodrigues" "apellidos" => "Amorim" ] 4 => array:2 [ "nombre" => "Elmo de Jesus" "apellidos" => "Nery-Júnior" ] 5 => array:2 [ "nombre" => "Araci Castelo Branco Rodrigues" "apellidos" => "Alves" ] 6 => array:2 [ "nombre" => "Flávio Teixeira de" "apellidos" => "Abreu-Neto" ] 7 => array:2 [ "nombre" => "Maria da Conceição Barros" "apellidos" => "Oliveira" ] 8 => array:2 [ "nombre" => "Danylo Rafhael Costa" "apellidos" => "Silva" ] 9 => array:2 [ "nombre" => "José Maria" "apellidos" => "Soares-Júnior" ] 10 => array:2 [ "nombre" => "Benedito Borges da" "apellidos" => "Silva" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222003489?idApp=UINPBA00004N" "url" => "/18075932/000000750000000C/v1_202211290815/S1807593222003489/v1_202211290815/en/main.assets" ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">COMMENTS</span>" "titulo" => "Comments on “Evaluation of the Accuracy of Mammography, Ultrasound and Magnetic Resonance Imaging in Suspect Breast Lesions”" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yongyu An" "autores" => array:1 [ 0 => array:4 [ "nombre" => "Yongyu" "apellidos" => "An" "email" => array:1 [ 0 => "an1518068842@163.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Radiology, Tongde Hospital of Zhejiang Province, Zhejiang Province, China" "identificador" => "aff1" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">Dear Editor:</p><p id="para20" class="elsevierStylePara elsevierViewall">I read the article (<a class="elsevierStyleCrossRef" href="#bib1">1</a>) “Evaluation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions” (Pereira et al.) with great interest; however, I am left confused by the study and believe some issues must be discussed.</p><p id="para30" class="elsevierStylePara elsevierViewall">The aim of this study was to compare the diagnostic performance of three imaging methods for breast cancer (<a class="elsevierStyleCrossRef" href="#bib1">1</a>). However, all patients showed a suspect breast lesion on evaluation by at least one of the methods. Based on the Breast Imaging-Reporting and Data System (BI-RADS), biopsy or surgical resection was recommended; however, the positive predictive value for BI-RADS categories 4 and 5 varies depending on the imaging modality. For instance, almost 90% of the suspect lesions detected by ultrasound eventually show negative results, leading to unnecessary biopsies (<a class="elsevierStyleCrossRef" href="#bib2">2</a>). In this setting, the role of other imaging modalities is to evaluate whether a suspected lesion is truly malignant. Hence, magnetic resonance imaging (MRI) is the superior modality as it shows high sensitivity for breast cancer detection and has a high negative predictive value for the exclusion of malignancy (<a class="elsevierStyleCrossRefs" href="#bib3">3–5</a>), as shown in the study by Pereira at al. (<a class="elsevierStyleCrossRef" href="#bib1">1</a>). Furthermore, several studies have suggested that MRI could be used as a problem-solving tool in cases of suspicious clinical and radiological findings (<a class="elsevierStyleCrossRefs" href="#bib6">6–8</a>).</p><p id="para40" class="elsevierStylePara elsevierViewall">Finally, I do not agree with the statement that MRI has low specificity owing to high breast density. Breast density has a vital impact on the interpretation of mammography findings, but not on that of MRI findings. On dynamic contrast-enhanced MRI, both morphology and kinetics are key for the diagnosis of breast lesions, although there is considerable overlap between signs of benign and malignant lesions, resulting in false-positive findings. Several studies have revealed that diffusion-weighted imaging can improve the specificity of breast MRI and help avoid unnecessary biopsies (<a class="elsevierStyleCrossRef" href="#bib9">9</a>,<a class="elsevierStyleCrossRef" href="#bib10">10</a>). The specificity shown in this study was low (<a class="elsevierStyleCrossRef" href="#bib1">1</a>); hence, I wonder whether diffusion-weighted imaging was integrated into breast MRI. I would be interested in receiving responses to my comments.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara" id="cenpara10">No potential conflict of interest was reported.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec10" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valuation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => """ RO Pereira \n \t\t\t\t\t\t\t\t """ 1 => """ LAD Luz \n \t\t\t\t\t\t\t\t """ 2 => """ DC Chagas \n \t\t\t\t\t\t\t\t """ 3 => """ JR Amorim \n \t\t\t\t\t\t\t\t """ 4 => """ EJ Nery-Júnior \n \t\t\t\t\t\t\t\t """ 5 => """ ACBR Alves \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Clinics" "fecha" => "2020" "volumen" => "75" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://doi.org/10.6061/clinics/2020/e1805" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => """ WA Berg \n \t\t\t\t\t\t\t\t """ 1 => """ Z Zhang \n \t\t\t\t\t\t\t\t """ 2 => """ D Lehrer \n \t\t\t\t\t\t\t\t """ 3 => """ RA Jong \n \t\t\t\t\t\t\t\t """ 4 => """ ED Pisano \n \t\t\t\t\t\t\t\t """ 5 => """ RG Barr \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "JAMA" "fecha" => "2012" "volumen" => "307" "numero" => "13" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://doi.org/10.1001/jama.2012.388" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Breast MRI: EUSOBI recommendations for women's information" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => """ RM Mann \n \t\t\t\t\t\t\t\t """ 1 => """ C Balleyguier \n \t\t\t\t\t\t\t\t """ 2 => """ PA Baltzer \n \t\t\t\t\t\t\t\t """ 3 => """ U Bick \n \t\t\t\t\t\t\t\t """ 4 => """ C Colin \n \t\t\t\t\t\t\t\t """ 5 => """ E Cornford \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1007/s00330-015-3807-z" "Revista" => array:7 [ "tituloSerie" => "Eur Radiol" "fecha" => "2015" "volumen" => "25" "numero" => "12" "paginaInicial" => "3669" "paginaFinal" => "3678" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26002130" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1007/s00330-015-3807-z" "WWW" => array:1 [ "link" => "https://doi.org/10.1007/s00330-015-3807-z" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic Performance of Breast Magnetic Resonance Imaging in Non-Calcified Equivocal Breast Findings: Results from a Systematic Review and Meta-Analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => """ B Bennani-Baiti \n \t\t\t\t\t\t\t\t """ 1 => """ N Bennani-Baiti \n \t\t\t\t\t\t\t\t """ 2 => """ PA Baltzer \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "PLoS One" "fecha" => "2016" "volumen" => "11" "numero" => "8" "itemHostRev" => array:3 [ "pii" => "S014067360208090X" "estado" => "S300" "issn" => "01406736" ] ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://doi.org/10.1371/journal.pone.0160346" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Breast MRI used as a problem-solving tool reliably excludes malignancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => """ C Spick \n \t\t\t\t\t\t\t\t """ 1 => """ DHM Szolar \n \t\t\t\t\t\t\t\t """ 2 => """ KW Preidler \n \t\t\t\t\t\t\t\t """ 3 => """ M Tillich \n \t\t\t\t\t\t\t\t """ 4 => """ P Reittner \n \t\t\t\t\t\t\t\t """ 5 => """ PA Baltzer \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1016/j.ejrad.2014.10.005" "Revista" => array:7 [ "tituloSerie" => "Eur J Radiol" "fecha" => "2015" "volumen" => "84" "numero" => "1" "paginaInicial" => "61" "paginaFinal" => "64" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25454098" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1016/j.ejrad.2014.10.005" "WWW" => array:1 [ "link" => "https://doi.org/10.1016/j.ejrad.2014.10.005" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of BI-RADS category 4 lesions detected with screening mammography and screening US: utility of MR imaging" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => """ K Strobel \n \t\t\t\t\t\t\t\t """ 1 => """ S Schrading \n \t\t\t\t\t\t\t\t """ 2 => """ NL Hansen \n \t\t\t\t\t\t\t\t """ 3 => """ A Barabasch \n \t\t\t\t\t\t\t\t """ 4 => """ CK Kuhl \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1148/radiol.14140645" "Revista" => array:7 [ "tituloSerie" => "Radiology" "fecha" => "2015" "volumen" => "274" "numero" => "2" "paginaInicial" => "343" "paginaFinal" => "351" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25271857" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1148/radiol.14140645" "WWW" => array:1 [ "link" => "https://doi.org/10.1148/radiol.14140645" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical Utility of Breast MRI in the Diagnosis of Malignancy After Inconclusive or Equivocal Mammographic Diagnostic Evaluation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => """ CS Giess \n \t\t\t\t\t\t\t\t """ 1 => """ SA Chikarmane \n \t\t\t\t\t\t\t\t """ 2 => """ DA Sippo \n \t\t\t\t\t\t\t\t """ 3 => """ RL Birdwell \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.2214/AJR.16.16751" "Revista" => array:7 [ "tituloSerie" => "AJR Am J Roentgenol" "fecha" => "2017" "volumen" => "208" "numero" => "6" "paginaInicial" => "1378" "paginaFinal" => "1385" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28267372" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.2214/AJR.16.16751" "WWW" => array:1 [ "link" => "https://doi.org/10.2214/AJR.16.16751" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => """ C Spick \n \t\t\t\t\t\t\t\t """ 1 => """ DHM Szolar \n \t\t\t\t\t\t\t\t """ 2 => """ KW Preidler \n \t\t\t\t\t\t\t\t """ 3 => """ P Reittner \n \t\t\t\t\t\t\t\t """ 4 => """ K Rauch \n \t\t\t\t\t\t\t\t """ 5 => """ P Brader \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "PLoS One" "fecha" => "2018" "volumen" => "13" "numero" => "1" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://doi.org/10.1371/journal.pone.0190287" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quantitative DWI implemented after DCE-MRI yields increased specificity for BI-RADS 3 and 4 breast lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => """ H Dijkstra \n \t\t\t\t\t\t\t\t """ 1 => """ MD Dorrius \n \t\t\t\t\t\t\t\t """ 2 => """ M Wielema \n \t\t\t\t\t\t\t\t """ 3 => """ RM Pijnappel \n \t\t\t\t\t\t\t\t """ 4 => """ M Oudkerk \n \t\t\t\t\t\t\t\t """ 5 => """ PE Sijens \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1002/jmri.25331" "Revista" => array:7 [ "tituloSerie" => "J Magn Reson Imaging" "fecha" => "2016" "volumen" => "44" "numero" => "6" "paginaInicial" => "1642" "paginaFinal" => "1649" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27273694" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1002/jmri.25331" "WWW" => array:1 [ "link" => "https://doi.org/10.1002/jmri.25331" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utility of Diffusion-weighted Imaging to Decrease Unnecessary Biopsies Prompted by Breast MRI: A Trial of the ECOG-ACRIN Cancer Research Group (A6702)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => """ H Rahbar \n \t\t\t\t\t\t\t\t """ 1 => """ Z Zhang \n \t\t\t\t\t\t\t\t """ 2 => """ TL Chenevert \n \t\t\t\t\t\t\t\t """ 3 => """ J Romanoff \n \t\t\t\t\t\t\t\t """ 4 => """ AE Kitsch \n \t\t\t\t\t\t\t\t """ 5 => """ LG Hanna \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:2 [ 0 => array:2 [ "doi" => "10.1158/1078-0432.CCR-18-2967" "Revista" => array:7 [ "tituloSerie" => "Clin Cancer Res" "fecha" => "2019" "volumen" => "25" "numero" => "6" "paginaInicial" => "1756" "paginaFinal" => "1765" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30647080" "web" => "Medline" ] ] ] ] 1 => array:2 [ "doi" => "10.1158/1078-0432.CCR-18-2967" "WWW" => array:1 [ "link" => "https://doi.org/10.1158/1078-0432.CCR-18-2967" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/18075932/000000750000000C/v1_202211290815/S1807593222004471/v1_202211290815/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/18075932/000000750000000C/v1_202211290815/S1807593222004471/v1_202211290815/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222004471?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 0 | 1 |
| 2024 October | 21 | 27 | 48 |
| 2024 September | 17 | 22 | 39 |
| 2024 August | 17 | 21 | 38 |
| 2024 July | 11 | 17 | 28 |
| 2024 June | 20 | 8 | 28 |
| 2024 May | 25 | 12 | 37 |
| 2024 April | 23 | 11 | 34 |
| 2024 March | 19 | 13 | 32 |
| 2024 February | 13 | 20 | 33 |
| 2024 January | 10 | 17 | 27 |
| 2023 December | 13 | 18 | 31 |
| 2023 November | 18 | 18 | 36 |
| 2023 October | 16 | 29 | 45 |
| 2023 September | 14 | 24 | 38 |
| 2023 August | 29 | 5 | 34 |
| 2023 July | 17 | 21 | 38 |
| 2023 June | 13 | 8 | 21 |
| 2023 May | 4 | 1 | 5 |
| 2023 April | 5 | 2 | 7 |
| 2023 March | 3 | 5 | 8 |
| 2023 February | 2 | 1 | 3 |
| 2023 January | 3 | 11 | 14 |
| 2022 December | 26 | 4 | 30 |
| 2022 November | 2 | 0 | 2 |
Show all